Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.35 / $61.60 / $61.60	Facility	26	$54.35	$61.60	$61.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $166.25 / $207.10	Professional		$85.28	$166.25	$207.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $29.97 / $65.29	Professional	26	$16.35	$29.97	$65.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $123.08 / $163.99	Professional		$94.90	$123.08	$163.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.46 / $37.86 / $47.89	Professional	26	$20.46	$37.86	$47.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $314.64 / $349.28	Professional		$314.64	$314.64	$349.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $148.97 / $148.97 / $179.15	Professional	26	$148.97	$148.97	$179.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $143.81 / $181.23	Professional		$124.89	$143.81	$181.23
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.96 / $41.32 / $47.22	Professional	26	$38.96	$41.32	$47.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.72 / $108.25	Professional		$32.34	$39.72	$108.25
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $714.15	Facility	26	$714.15	$714.15	$714.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $160.29 / $181.23	Professional		$136.25	$160.29	$181.23
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.92 / $49.32 / $59.37	Professional	26	$41.92	$49.32	$59.37
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $127.60 / $397.33	Professional		$75.06	$127.60	$397.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $26.51 / $44.17	Professional	26	$18.04	$26.51	$44.17